A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (Select all that apply.)
Numbness
Skeletal deformities
Alopecia
Ecchymosis
The Correct Answer is A
A. Transference: Transference occurs when a client projects feelings about someone from their past onto the therapist or nurse. The client’s feelings about the nurse being similar to their mother fit this description.
B. Confrontation: Confrontation involves addressing discrepancies or issues directly, which is not the focus here. The situation described is about the client’s feelings towards the nurse.
C. Countertransference: Countertransference occurs when a nurse or therapist has emotional reactions based on their own past experiences, not the client’s feelings about the nurse.
D. Incongruence: Incongruence refers to a mismatch between a person's experiences and their self-concept. The situation described involves the client's feelings toward the nurse rather than incongruence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ideas of reference: Ideas of reference involve the belief that common elements of the environment are directly related to oneself. The client’s belief that the group’s laughter is about them, despite unrelated content, fits this description.
B. Somatic delusion: Somatic delusions involve false beliefs about one's body or health. The client’s reaction is more related to perceived social interactions rather than beliefs about their own health.
C. Erotomania: Erotomania involves the belief that someone is in love with the individual, which is not relevant to the described situation.
D. Grandeur: Delusions of grandeur involve believing one has exceptional abilities or status. The client’s reaction does not fit this description.
Correct Answer is C
Explanation
A. the exploitation subphase: The exploitation subphase occurs later in the therapeutic relationship when the client begins to use the relationship for their benefit, not the initial stage of building trust.
B. the resolution phase: The resolution phase is the final stage of the therapeutic relationship when the client’s issues are resolved and the relationship is ending. Trust-building occurs earlier.
C. the orientation phase: This is correct. The orientation phase is the initial stage of the nurse-client relationship where trust is established, and the foundation for future interactions is built.
D. the problem identification subphase: The problem identification subphase involves recognizing and clarifying the client's issues. Trust-building occurs earlier in the orientation phase
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.